| NPI | 1033829296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801121368) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2025-12-09 |